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 #    Smart -N- Easy tm  PARTY PLANNER               Registration Form    #
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 #    Company Name _____________________________________________________  #
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 #    First Name ____________________ Last Name ________________________  #
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 #    Address __________________________________________________________  #
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 #    City _________________________ State _______ Zip _________________  #
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 #    Day Phone (______) ____________  Night Phone (______) ____________  #
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 #    Disk Size  _____ 5.25"   _____ 3.5"                                 #
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 #    How did you first learn of this product?                            #
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 #    _____ Magazine   _____ Newspaper   _____ Exhibition  _____ Review   #
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 #    Name of distributer purchased from: ______________________________  #
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 #    Why did you choose Smart -N- Easy?    (check all that apply)        #
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 #    _____ Performance  _____ Price  _____ Quality  _____ Reliability    #
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 #    _____ Recommendation   (other)____________________________________  #
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 #    Primary usage in:  _____ Home     _____ Wedding Related Business    #
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 #    Would you like to receive a free demo disk of our baby planner or   #
 #    wedding planner?                                                    #
 #                                                          Yes  No       #
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 #    _____ Enclosed is payment in check or money order for $15.00        #
 #          Please ship my registered version promptly.                   #
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 #    _____ Please promptly ship my registered version C.O.D. at          #
 #          $15.00 plus $3.50 C.O.D. charges (total $18.50)               #
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 #    NJ residents please add 7% sales tax ($1.05).                       #
 #    If ordering outside of The U.S., please add $5. for shipping.       #
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 #    Send orders to: AUTOMATED SYSTEMS Dept. 3                           #
 #                    PO BOX 503                                          #
 #                    WEST PATERSON, NJ 07424                             #
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 #    FOR FASTER SERVICE, YOU MAY PHONE-IN ORDERS: (201) 812-1428         #
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 #                     Thank you for your support.                        #
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